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Lisa Michelle Lane
Family Nurse Practitioner in San Augustine, Texas
NPI 1366106759

Lisa Michelle Lane is a Family Nurse Practitioner based in San Augustine, TX and is specialized in Family. Lisa Michelle Lane practices in San Augustine, TX. The NPI Number for Lisa Michelle Lane is 1366106759 and holds a License No. 1057387 (Texas).

The current practice location address for Lisa Michelle Lane is 200 E Livingston St, San Augustine, TX and can be reached out via phone at 322-759-9109.

Location: 200 E Livingston St, San Augustine, TX, 75972-2028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366106759
Provider Name
Lisa Michelle Lane
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 E Livingston St, San Augustine, TX, 75972-2028
Phone Number
322-759-9109
Fax Number
Provider Enumeration Date
10/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 E Livingston St
City
San Augustine
State
Texas
Zip
75972-2028
Phone Number
322-759-9109
Fax Number
person
Provider Business Mailing Address Details
Address
200 E Livingston St
City
San Augustine
State
Texas
Zip
75972-2028
Phone Number
322-759-9109
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1057387 (Texas)
Definition
Definition to come...
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